Information Collection

Martlin Luther King, Jr. Day of Service Application Instructions

IC 211904 under ICR 201406-3045-003 · OMB 3045-0110.

Documents and Forms

Document Name Document Type
Form 1 Martlin Luther King, Jr. Day of Service Application Instructions Form and Instruction
1 MLK Jr Day of Service Application Instructions FINAL OMB 14 MLK Application Instructions 6 5 14.doc www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Martlin Luther King, Jr. Day of Service Application Instructions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	MLK Jr Day of Service Application Instructions	FINAL OMB 14 MLK Application Instructions 6 5 14.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	880	880
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.